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Organization
JERRY MORANA, JR., DDS, A PROFESSIONAL CORPORATION
Active
Organization
JERRY MORANA, JR., DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY MORANA JR. D.D.S. (PRESIDENT)
(951) 686-7420
Entity
Organization
Contact information
Practice address
6117 BROCKTON AVE, SUITE 103, RIVERSIDE, CA 92506-2232
(951) 686-7420
(951) 686-6251
Mailing address
6117 BROCKTON AVE, SUITE 103, RIVERSIDE, CA 92506-2232
(951) 686-7420
(951) 686-6251
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43372
CA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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